Active NPI
Daryl Jent, DPT
- Physical Therapist
- Smithfield, RI
National Provider Identifier
1700550175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03409
- Practice address
- 41 Sanderson Rd Ste 101
Smithfield, RI 02917-2611 - Phone
- (401) 349-4540
- NPI assigned
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT03409 | RI | Primary |
Addresses
Primary practice location
41 Sanderson Rd Ste 101
Smithfield, RI 02917-2611
Mailing address
4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
334 Littleton Rd
Suite 2
Westford, MA 01886-4124
Phone (978) 392-0483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Sports Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
71 Border Rd
Waltham, MA 02451
Phone (781) 487-9944
840 Winter St
Waltham, MA 02451
Phone (781) 487-9944
334 Littleton Rd
Ste 2
Westford, MA 01886
Phone (978) 392-0483
Interoperability endpoints
- https://api.platform.athenahealth.com/1148/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Waltham, MA
- NPI 1780661090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1700550175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RICHMOND SQ STE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065117",
"telephone_number": "401-433-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SANDERSON RD STE 101",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172611",
"telephone_number": "401-349-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENT",
"first_name": "DARYL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.